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MRS. JEAN MARGARET TULLY R.P.A.-C
NPI 1336205095
Physician Assistant in Stony Brook, NY

Active since December 28, 2006PECOS Enrolled
1 STADIUM DR, STUDENT HEALTH SERVICE, STONY BROOK, NY 11794(631) 632-6740(631) 632-6936 Get Directions Write a Review

NPPES record last updated: October 8, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mrs. Jean Margaret Tully R.p.a.-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. JEAN MARGARET TULLY R.P.A.-C (NPI 1336205095) is an individual physician assistant in Stony Brook, New York, licensed in New York (005514-1) and active in the NPI registry since December 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1336205095
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameMRS. JEAN MARGARET TULLYCredential: R.P.A.-C
Location Address1 STADIUM DR, STUDENT HEALTH SERVICEStony Brook, NY 11794-3191
Mailing Address1 Stadium Dr, Student Health ServiceStony Brook, NY 11794-3191 · (631) 632-6740
Phone(631) 632-6740
Fax(631) 632-6936
Sole ProprietorNo
Enumeration DateDecember 28, 2006
Last NPPES UpdateOctober 8, 2014
✔ NPI 1336205095 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in NY · 005514-1
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
1 STADIUM DR, Stony Brook, NY 11794
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Jean Margaret Tully R.p.a.-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer– Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11794 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$105.06 typical visit price
range $67.40 – $203.53
Typical copayment $26.26 (range $16.85 – $50.88)
Most-billed visit code 99203
Established Patient
$83.44 typical visit price
range $21.66 – $164.45
Typical copayment $20.86 (range $5.41 – $41.11)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jean Tully's NPI number?

The NPI number for Jean Tully is 1336205095. It was assigned to this individual provider in the NPPES registry on December 28, 2006.

Where is Jean Tully located?

Jean Tully practices at 1 Stadium Dr Student Health Service, Stony Brook, NY 11794. The listed phone number is (631) 632-6740.

What is Jean Tully's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Jean Tully enrolled in Medicare?

Yes. Jean Tully is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jean Tully was last updated on October 8, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.